NPPES file of Aug 9, 2026

Glen Lee Johnson, PH.D.

Clinical Psychologist · Traverse City, MI

Glen Lee Johnson, PH.D. is a clinical psychologist with a practice address in Traverse City, Michigan, and NPI 1992758353, issued on May 18, 2006. Check the license (Michigan 6301006001, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1992758353
Name
Glen Lee Johnson
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License numbers
6301006001 MI
PY7155 FL
Self-reported in NPPES; status is on the state search
Practice location
5123 N Royal Dr, Traverse City, MI 49684
Phone
(231) 929-7358
Enumerated
May 18, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(231) 935-0941
Medicare enrollment
Enrolled (PECOS I20190501000931); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5123 N Royal Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Annalise Benardo, M.S. CCC-SLPSpeech-Language Pathologist1508577271
  2. Bridget Callaghan, MSWClinical Social Worker1184716086
  3. Kathryn Maximiuk, LPCProfessional Counselor1316712565
  4. Jessica Newberry, MA CCC-SLPSpeech-Language Pathologist1982086906
  5. Michele Renner, CCC-SLPSpeech-Language Pathologist1497036586
  6. Victoria Roberts-JamisonProfessional Counselor1548180078

Verify Glen Lee Johnson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 6301006001
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

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Clinical Psychologist providers in Michigan

There are 2,965 clinical psychologist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other clinical psychologist records in Michigan

  1. Mark Abbenante, L.L.P.Flint, MI1871522888
  2. Emily Abbenante-HonoldAnn Arbor, MI1609132943
  3. Crystal Abbo, TLLPLivonia, MI1144750696
  4. Sahra AbdullahiSouthfield, MI1215646773
  5. Michelle Abela, PHDDetroit, MI1710187661
  6. Anna Abell, PH.D.Royal Oak, MI1396083176
  7. Steven Abell, PH.D.Royal Oak, MI1124150594
  8. Kristen Abraham, PH.D.Ann Arbor, MI1356775035
  9. John Abraitis, PSY.D.Battle Creek, MI1720045081
  10. Michael Abramsky, PHDBirmingham, MI1326239005

Common questions

What is Glen Lee Johnson, PH.D.'s NPI number?

Glen Lee Johnson, PH.D.'s National Provider Identifier (NPI) is 1992758353, issued on May 18, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Glen Lee Johnson, PH.D. located?

The NPPES record lists a practice address at 5123 N Royal Dr, Traverse City, MI, 49684. Phone: (231) 929-7358. Providers update this record themselves, so call before visiting.

How can I verify Glen Lee Johnson, PH.D.'s license?

NPPES lists Michigan license number 6301006001, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.